Quality of Care and Cost Effectiveness: Optimization of Wound Care in the Netherlands
Wouter Brekelmans, MD, Boudewijn LS Borger van der Burg, MD and Rigo Hoencamp, MD, PhD
Article Type: Research Article | First Published: August 30, 2021
Recently Brekelmans, et al. analyzed a new “fast-track “protocol, the intervention “fast track protocol” was implemented to shorten the time to referral of patients when the need for diagnostic test was deemed necessary because of the suspicion of underlying pathology preventing wound healing. This sub-analysis of a cross-sectional study presents the cost reduction, using that “fast track protocol”. Our conservative estimate is that between approximately €135.000.000 and €293.000...
Congenital Absence of the Digital and Middle Phalanx
Okoye Ifeanyi Martins and Oluwatoyosi Mary Adeoye
Article Type: Clinical Medical Images | First Published: August 30, 2021
A-day-old neonate born through spontaneous vaginal delivery with a congenital absence of the digital phalanx of the thumb, index, middle and ring finger of the right hand. On physical examination, no other deformities were noted on the other part of the body. There was a history of intake of dry gin (alcohol) mixed with herbal medications (which she doesn’t remember the names) during the 1st trimester in multiple attempts to abort the pregnancy. There is no family history of similar condition ...
Spontaneous Parasitic Fibroid with Omental Vessel: A Case Report and Literature Review
Amala Sunder, MRCPI(OBG), Bessy Varghese, MBBS, DGO, Noora Bahzad, MD and Basma Darwish, MD
Article Type: Case Report | First Published: August 26, 2021
A 35-years-old female was diagnosed with the pedunculated 20 cm sub serous fibroid uterus. The pedicle was approximately 2 cm in length, arising from the fundus of the uterus. A feeding vessel from the omentum was identified, which was providing blood supply to the myoma. She underwent myomectomy after the resection of pedicle and ligation of omental vessels. Post-operative period was uneventful and she had good recovery. This case report of Parasitic fibroid is a type of subserous fibroid. Gene...
The Impact of Surgery duration and Surgery End Time on Postoperative Sleep in Older Adults
Danielle Tran, BS, Christopher Tang, BS, Sanam Tabatabai, BS, Devon Pleasants, BS, Christopher Choukalas, MD, MS, Jie Min, MS, Quyen Do, MS, Laura Sands, PhD, Kathryn Lee, RN, PhD and Jacqueline M Leung, MD, MPH
Article Type: Original Investigation | First Published: August 16, 2021
Sleep disruption is prevalent in older patients. No previous studies have considered the impact of surgery duration or surgery end time of day on postoperative sleep disruption. Accordingly, we examined the duration of surgery and surgery end times for associations with postoperative sleep disruption. Inclusion criteria were patients ≥ 65 years of age undergoing major, non-cardiac surgery. Sleep disruption was measured by wrist actigraphy and defined as wake after sleep onset (WASO) during the...
Anxiety and Depression in Psoriatic Arthritis: A Cross Sectional Study in Brazilian Patients
Luiza M Cipriani, Ana PB Campos, Juliana Simioni, Renato Nisihara and Thelma L Skare
Article Type: Brief Report | First Published: April 26, 2021
Comorbidities are common in psoriatic arthritis patients, including mood disorders. We aimed to study the prevalence of anxiety and depression in psoriatic arthritis patients from Brazil and its association with epidemiological, clinical and treatment data. Fifty-four psoriatic arthritis patients were interviewed using Becks’ anxiety inventory, CES-D (Center for Epidemiologic Studies Depression Scale) and the SF-12 (Short Form Health Survey). Simultaneously the disease activity was measured us...
Yane Melo Santana, Angela Maria De Amorim Sozio, Dayse Kelle Nascimento Ribeiro, Juliana Costa Santos, Luana Mattana Sebben, Diego Monteiro De Carvalho and Fabricia Louzada Depizzol Vito Sobrinho
Article Type: Case Report | First Published: August 28, 2021
The authors report the case of a 14-year-old girl with Melkersson-Rosenthal syndrome in its classical form, with the triad of recurrent peripheral facial paralysis, upper lip edema and fissured tongue. A rare disease of unknown etiology, it has a chronic and progressive course, and clinical diagnosis is usually by exclusion. An individualized, multidisciplinary approach is fundamental for the treatment of the symptoms and avoids complications and permanent sequelae. The therapeutic options are v...
Ana Carolina Riveros, Valentina Proietti, Candelaria Serrano and Carlos Santiago Ruggeri
Article Type: Original Research | First Published: August 25, 2021
Schwannomas of the nasal cavity and paranasal sinuses are uncommon. Treatment is surgical and endoscopic excision is a main indication. Our aim was to determine the incidence of rhinosinusal Schwannomas and the effectiveness of endonasal surgery with endoscopes to treat these tumors. The electronic medical records of all patients diagnosed with head and neck schwannomas were reviewed, excluding acoustic nerve neurilemomas and neurofibromas. Those who presented tumors located in the nose or paran...
Endoscopic Surgery of Supraorbital Cells Mucoceles
Carlos Santiago Ruggeri, Valentina Proietti and Ana Carolina Riveros
Article Type: Original Article | First Published: August 21, 2021
Mucoceles originating from supraorbital ethmoid cells are difficult to treat. Due to its lateral location the endonasal approach with endoscopes is sometimes not sufficient to achieve adequate exposure and the use of extended transnasal techniques and even external approaches is required. To determine the success rate of surgical treatment performed endonasally with endoscopes or combined, endonasal and trough a transpalpebral approach to treat mucoceles originating in supraorbital cells. Patien...
Severe Acute Malnutrition Treatment Cure Rate for Under-Five Children Admitted in Stabilizing Center: North Wet Ethiopia 2021
Fassikaw Kebede Bizuneh, BSC, MPH, Nemera Eticha Bekonjo, BSC, MPH and Tsehay kebede,BA, MA
Article Type: Original Article | First Published: August 23, 2021
Sever Acute Malnutrition (SAM) is a major health problem in developing countries especially among underprivileged and destitute life survivors population. It is more common among under-five children and responsible for accounting onethird deaths in worldwide. Information on SAM treatment outcome in therapeutic center at Benishangule Gumuze region is scarce. We assessed SAM treatment cure rate and associated factors among 6-59-month children at Pawe General Hospitals from February1, April 2, 2020...
“Let Food be Thy Medicine”: Diet and Supplements in Irritable Bowel Syndrome
Neha V Patel, MD
Article Type: Original Article | First Published: August 20, 2021
The purpose of this review is to introduce options of dietary therapies and supplements as treatments for the treatment of Irritable bowel syndrome (IBS). IBS is a common condition with heterogeneity in pathogenesis and clinical presentation. Current treatment options are targeted at symptom relief with medications. Dietary therapy for IBS has been poorly studied in the past, however newer evidence suggests the use of certain diets, such as the low FODMAP (Fermentable Oligosaccharides, Disacchar...